Designing a range of mentalizing interventions for young people using a clinical staging approach to borderline pathology.

Hutsebaut J; Debbané M; Sharp C

doi:10.1186/s40479-020-0121-4

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Journal article

Designing a range of mentalizing interventions for young people using a clinical staging approach to borderline pathology.

Hutsebaut J 1Viersprong Institute for Studies on Personality Disorders, Halsteren, the Netherlands.
Debbané M 3Developmental Clinical Psychology Research Unit, Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland.
Sharp C 5Department of Psychology, University of Houston, Houston, Texas USA.

2020-03-20

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Borderline personality disorder and emotion dysregulation. - 2020

Borderline personality disorder

English Borderline personality disorder (BPD) can have a long-lasting impact on social and professional functioning, even when core symptoms of BPD are in remission. Adolescence may be a critical developmental period to change the potential long-term functional outcome of BPD. This paper presents a range of mentalizing interventions to alter the course and outcome of BPD, based upon a model of clinical staging. Mentalizing interventions have in common a focus on strengthening self-regulatory and interpersonal capacities, aiming to improve adaptive social learning. This paper argues that these interventions should be dosed and organized according to the stage of progression of BPD, which is illustrated by discussing different specific formats for mentalization-based interventions, including an early-intervention program for BPD and a standard program for full BPD.

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